Medical Coder I (Critical Care)

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Job Purpose

The Coder I reviews clinical documentation to code diagnoses for hospital-based claims and data needs.  For physician-based claims and data needs, the Coder I review’s clinical documentation to code diagnoses and, if applicable, EM level. This role also validates APC calculations, abstracts clinical data, mitigates diagnosis and, if applicable, EM level coding-related claims scrubber edits, and may interact with client staff and providers.

Duties & Responsibilities

• Verify and sequence ICD-10, and or CPT/HCPCS codes from patient medical records and/or procedure reports for submission

• Review and submit sixty-four encounters per day or eight charts per hour, related to evaluation & management, procedures, testing, denials are five charts per hour

• Maintain consistent quality and accuracy while maintaining client specific and/or Savista production and or quality standards

• Communicate clearly and precisely with providers during the querying process

• Navigate electronic medical records as it relates to billing, coding, and insurance denials

• Must be able to work denials for insurance follow-up and work collaboratively with Accounts Receivable Team

• Participate in internal and client meetings, trainings, and conference calls

• Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols, and third-party requirements regarding coding and/or billing.

• Maintain knowledge of Medicare, Managed Care and Commercial Insurance guidelines for coding E&M, procedures, and surgery cases

• Participate in continuing education activities to enhance knowledge, skills and maintain current credentials.

Qualifications & Competencies

• 1 year of relevant coding experience

• Active AHIMA or AAPC credential

• Knowledge of medical terminology, anatomy and physiology, and ICD-10 and CPT/HCPCS code sets

• Proficient computer knowledge including MS Office with ability to enter data, sort and filter excel files

• Excellent interpersonal and problem-solving skills

• Outstanding organization skills and time management

• Knowledge and understanding of insurance denials as it relates to accounts receivable Understanding of hierarchy coding for ICD-10 coding as it relates to official guidelines and linking

• Understanding of CMS guidelines and how to navigate and research LCD (local coverage determination) and NCD (national coverage determination)

• Knowledge and ability on how to apply column 1 and 2 rules for ICD-10 coding

Note: Savista is required by state-specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $21.00 to $26.00. However, specific compensation for the role will vary within the above range based on many factors, including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

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